Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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A case of congenital foregut cyst; misdiagnosed as cystic hygroma

낭성 림프관종으로 오인한 전장 낭종 환자 1예

  • Joo, Jae Woo (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital) ;
  • Oh, Kyung Ho (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital) ;
  • Kwon, Soon Young (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital)
  • 주재우 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실) ;
  • 오경호 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실) ;
  • 권순영 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실)
  • Received : 2017.07.20
  • Accepted : 2017.10.16
  • Published : 2017.11.30
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Abstract

Foregut cystic developmental malformations are rare developmental anomalies. It is important to diagnose the diseases and manage them properly because these cysts may generate feeding or respiratory difficulties depending on the size and location of the lesions. A newborn was referred for a congenital cervical swelling to our clinic on the second day of his life. Neck SONO and MRI showed an about 6cm sized cystic mass at left submandibular area. Aspirations and sclerotherapies were done repeatedly due to recurred cystic mass. Under the suspicious of cystic hygroma, the mass and submandibular gland were excised. Histologically, it was a benign cyst including gastrointestinal and bronchogenic mucosa and pancreatic tissue. Foregut cyst was suggested for the final diagnosis and the patient was discharged at 9 days after the operation without a complication. He has visited our out-patient department. Although several image studies have been introduced to find out foregut cyst, it is difficult to go through differential diagnosis because of similarity of other benign tumor. Further studies for early diagnosis of cervical foregut cyst are needed for preventing possible related problems.

Keywords

References

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